Individual
PAMELA JANE CLEMENTONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
408 E 2ND ST, DURANGO, CO 81301-5706
(970) 769-9931
Mailing address
408 E 2ND ST, DURANGO, CO 81301-5706
(970) 769-9931
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
10144
CO
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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